Changing Birth In The Andes

In 1997, when Lucia Guerra-Reyes began research in Peru, she observed a profound disconnect between the birth care desires of health personnel and those of indigenous women. Midwives and doctors would plead with her as the anthropologist to "educate women about the dangerous inadequacy of their traditions." They failed to see how their aim of achieving low rates of maternal mortality clashed with the experiences of local women, who often feared public health centers, where they could experience discrimination and verbal or physical abuse. Mainly, the women and their families sought a "good" birth, which was normally a home birth that corresponded with Andean perceptions of health as a balance of bodily humors. Peru's Intercultural Birthing Policy of 2005 was intended to solve these longstanding issues by recognizing indigenous cultural values and making biomedical care more accessible and desirable for indigenous women. Yet many difficulties remain. Guerra-Reyes also gives ethnographic attention to health care workers. She explains the class and educational backgrounds of traditional birth attendants and midwives, interviews doctors and health care administrators, and describes their interactions with local families. Interviews with national policy makers put the program in context.

Pilar is a capable, energetic merchant in the small, Peruvian highland settlement of Chiuchin. Genovena, an unmarried day laborer in the same town, faces an impoverished old age without children to support her. Carmen is the wife of a prosperous farmer in the agricultural community of Mayobamba, eleven thousand feet above Chiuchin in the Andean sierra. Mariana, a madre soltera—single mother—without a husband or communal land of her own, also resides in Mayobamba. These lives form part of an interlocking network that the authors carefully examine in Women of the Andes. In doing so, they explore the riddle of women’s structural subordination by analyzing the social, political, and economic realities of life in Peru. They examine theoretical explanations of sexual hierarchies against the backdrop of life histories. The result is a study that pinpoints the mechanisms perpetuating sexual repression and traces the impact of social change and national policy on women’s lives.

This ground-breaking book challenges us to re-think ourselves as techno-sapiens—a new species we are creating as we continually co-evolve ourselves with our technologies. While some of its chapters are imaginary, they are all empirically grounded in ethnography and richly theorized from diverse disciplines. The authors go far beyond a techno-optimism vs. techno-pessimism stance, stretching our thinking about birthing techno-sapiens to consider not only how our cyborgian reproductive lives are constrained and/or enabled by technology but are also about emotions and spirit. The world of reproductive health care and particularly that of genetic engineering is developing exponentially, and current challenges are vastly different from those of a decade ago. The book is provocative, intended to generate debate, ideas, and future research and to influence ethical policy and practice in human techno-reproduction. It will be of interest across the social sciences and humanities, for reproductive scholars, bioethicists, techno-scientists, and those involved in the development and delivery of maternity services.

This book represents the proceedings from the third annual conference on the Global Status of Women and Girls held at Christopher Newport University in March 2018, sponsored by the College of Arts and Humanities. The theme for the interdisciplinary conference was Women, Social Change, and Activism: Then and Now.

Provides fresh perspectives on the past, present and future-facing contributions of the anthropology of reproduction. A Companion to the Anthropology of Reproductive Medicine and Technology provides a timely and comprehensive overview of the anthropological study of reproductive practices, technologies, and interventions in a global context. Exploring the medical and technological management of human reproduction through a sociocultural lens, this groundbreaking volume reviews past and current research, discusses contemporary debates and recent theoretical developments, introduces key themes and trends, examines ongoing issues of equity, inclusivity, and reproductive justice around the world, and more. The Companion brings together essays by multidisciplinary scholars in fields including sociocultural anthropology, medical anthropology, reproductive health, global public health, Science and Technology Studies (STS), gender and sexuality studies, critical race studies, and environmental studies, to list but a few. Five thematically organized sections address reproductive practitioners and paradigms, global reproductive health and interventions, reproductive justice, the life-course approach to the study of reproductive health, and the future of reproductive technology and medicine. Using clear, jargon-free language, the authors investigate pregnancy and childbirth; fertility treatments; birth control, contraception and abortion; COVID-19 and reproduction; reproductive cancers; epigenetics; social discrimination; gender and sexualities and reproduction for LGBTQIA+ communities; race and reproduction; migration and reproduction; reproduction and war; reproductive health financing; reproduction and disabilities, reproduction and the environment; and other important contemporary topics. A cutting-edge guide to the modern study of reproduction, this groundbreaking volume: Provides an overview of the links between anthropological study and progressive work in medicine, healthcare, and technology Addresses both the challenges and opportunities facing researchers in the field Identifies gaps in current scholarship and offers recommendations for future research topics and methodologies Highlights the importance of ethnographic research combined with critical engagements with other disciplines for the anthropology of reproduction Explores the impact of socioeconomic conditions, environmental challenges, public policy, and legislation on reproductive health outcomes Traces the history of the field and demonstrates how anthropologists have engaged with issues of reproductive justice Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to the Anthropology of Reproductive Medicine and Technology is an essential resource for undergraduate and graduate students, researchers, and scholars in medical anthropology, science technology and society, cultural anthropology, ethnology, and gender studies, as well as medical practitioners, policymakers, and activists involved in global and public health and reproductive justice.

This open access edited book brings together new research on the mechanisms by which maternal and reproductive health policies are formed and implemented in diverse locales around the world, from global policy spaces to sites of practice. The authors – both internationally respected anthropologists and new voices – demonstrate the value of ethnography and the utility of reproduction as a lens through which to generate rich insights into professionals’ and lay people’s intimate encounters with policy. Authors look closely at core policy debates in the history of global maternal health across six different continents, including: Women’s use of misoprostol for abortion in Burkina Faso The place of traditional birth attendants in global maternal health Donor-driven maternal health programs in Tanzania Efforts to integrate qualitative evidence in WHO maternal and child health policy-making Anthropologies of Global Maternal and Reproductive Health will engage readers interested in critical conversations about global health policy today. The broad range of foci makes it a valuable resource for teaching in medical anthropology, anthropology of reproduction, and interdisciplinary global health programs. The book will also find readership amongst critical public health scholars, health policy and systems researchers, and global public health practitioners.

"Partial Stories takes readers to Malawi, where roughly one in twenty women can expect to die of a pregnancy or childbirth complication, despite decades of safe-motherhood programs. The stories of these mothers are told in hospitals and villages, by chiefs and doctors, herbalists and nurses, epidemiologists and healers, and competing explanations proliferate. The mothers' stories are used by elders for technical education and moral instruction at a coming-of-age-ritual, a district hospital's mortality review, and in the reflected glow of a computer screen at an international conference. After orienting readers to urban Malawi's context of therapeutic pluralism and material scarcity, Claire Wendland discusses the ways various experts account for maternal death, showing how their diverse explanations reflect competing visions of the past and shared concerns about social change. She looks to a series of pregnancy-related deaths in order to consider bodies as biosocial phenomena, shaped from before birth by history and social inequality. Wendland reveals an uneven therapeutic landscape that pushes experts to improvise, clinically and ethically. Their creative, essential, and sometimes deadly improvisations ask us to reconsider the "best practice" dogmas of global health and transnational research, as well as the nature of medical authority and expertise. Wendland demonstrates how strategies of legitimation render care more dangerous and knowledge more partial than it might otherwise be"--

This work examines death rituals in South America and how traditional native American beliefs fell to the wayside when Christian rituals came into power.